Palliative psychiatry

The application of palliative care to intractable psychiatric disorders has been debated at least since 2010, when a journal article reported that a patient with severe anorexia nervosa died in hospice, after referral there by her psychiatrist.  The New York Times published a thought-provoking article earlier this year on the same topic: whether we […]

HIPAA-compliant email revisited

In January 2021, I described my search for a HIPAA-compliant email provider for my practice, and reviewed several options. In the end I chose Hushmail for Healthcare. It was, and is, a good service: thoughtfully featured, reasonably priced (with minor changes since then), and fast support when needed. But the truth is, I didn’t […]

Dilemmas of cash-based practice

I write in response to a recent post on KevinMD and the comments that followed. A primary care physician named Ashley Maltz discussed advantages and disadvantages of a cash-based practice. I appreciate her evenhanded tone: she prefers this model yet expressed concern for patients who can’t use it. In the comments section, several physicians extolled […]